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Search › Illinois › 1223G0001X

Justin Baumler, DMD

NPI 1376096396 · on the registry since 2016

Practice

Address
606 Riverside Ave
St Charles, IL 60174
Phone
(630) 584-5920
Organisation at this address
Kenneth J Liesen Md Sc
Comprehensive Dentistry
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois